2026 ICD-10-CM Diagnosis Code Z60.4Social exclusion and rejection

ICD-10-CM Codes›Z00–Z99›Z55-Z65›Z60

ICD-10-CM Z60.4
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

Z60.4 is a billable ICD-10-CM diagnosis code for social exclusion and rejection. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026). The code is not accepted as a principal diagnosis by the Medicare Code Editor. Coders also document this condition as decreased social isolation. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Socioeconomic/psychosocial factors.

Code Identity

ICD-10-CM Code
Z60.4
Billable Status
Yes — Valid for Submission
Code Describes
Social exclusion and rejection
Short Description
Social exclusion and rejection
Same as the full description in the CMS dataset.
Parent Code
Z60
Problems related to social environment

Code Classification

ChapterZ00–Z99Factors influencing health status and contact with health services
SectionZ55-Z65Persons with potential health hazards related to socioeconomic and psychosocial circumstances
CategoryZ60Problems related to social environment
This CodeZ60.4Social exclusion and rejection

Code EditsBilling

Medicare Code Editor checks that affect claim validity for Z60.4.

Unacceptable principal diagnosis
There are selected codes that describe a circumstance which influences an individual's health status but not a current illness or injury, or codes that are not specific manifestations but may be due to an underlying cause. These codes are considered unacceptable as a principal diagnosis.

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Decreased social isolation
  • Finding related to ability to interact with others
  • Sensory isolation
  • Social exclusion
  • Social isolation
  • Social isolation in parenthood
  • Social outcast
  • Social withdrawal

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Inclusion Terms

  • Exclusion and rejection on the basis of personal characteristics, such as unusual physical appearance, illness or behavior.
  • Social isolation

Type 1 Excludes

  • target of adverse discrimination such as for racial or religious reasons Z60.5

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Deprivation
      • social
    • Isolation, isolated
      • social
    • Maladjustment
      • social
        • due to
          • exclusion and isolation
    • Maladjustment
      • social
        • due to
          • rejection
    • Problem(with) (related to)
      • social
        • exclusion and rejection
    • Social
      • exclusion
    • Social
      • rejection

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR FAC019
Socioeconomic/psychosocial factors
Default principal diagnosis: inpatient No · outpatient No

Clinical InformationClinical

  • Social Isolation

    the separation of individuals or groups resulting in the lack of or minimizing of social contact and/or communication. this separation may be accomplished by physical separation, by social barriers and by psychological mechanisms. in the latter, there may be interaction but no real communication.

  • PDQUALIF - Social Isolation

    parkinson's disease quality of life scale (pdqualif) my parkinson's symptoms cause me to stay away from social gatherings.

  • PROMIS Short Form-Social Isolation-4a|PROMIS Item Bank v2.0 - Social Isolation - Short Form 4a|PROMIS Short Form - Social Isolation - 4a|PROMIS Short Form v2.0 - Social Isolation 4a|PROMIS-SI-4a

    a patient reported outcomes measure that assesses perceptions of being avoided, excluded, detached, disconnected from, or unknown by, others.

  • Social Isolation

    a condition in which an individual feels or is made to feel as though he or she has no place within society. this is often the case with persons who have inadequate support systems or who suffer from stigmatized disease, such as aids and mental illness.

Convert Z60.4 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
V62.4 Social maladjustment
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About Z60.4Overview

Is Z60.4 (Problems related to social environment) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report social exclusion and rejection on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

Can Z60.4 be a principal diagnosis?

No. The Medicare Code Editor rejects this code as a principal diagnosis because social exclusion and rejection describes a circumstance that influences health status rather than a current illness. Report it as a secondary diagnosis.

What is the ICD-9 equivalent of Z60.4?

Under the General Equivalence Mappings, social exclusion and rejection converts to ICD-9-CM V62.4 (social maladjustment). The mapping is approximate, so confirm the match fits the documentation.